摘要
目的对比经腹腔镜肌瘤剔除与传统开腹手术肌瘤剔除治疗子宫肌瘤的疗效差别。方法选择选择2021年11月至2022年12月在我院住院的46例妇科子宫肌瘤患者为研究对象,随机分为两组,其中观察组采取经腹腔镜肌瘤剔除术治疗,对照组采用传统开腹肌瘤剔除术治疗,比较这两组患者术中出血量、手术时间、术后肛门首次排气时间、术后首次下床时间、住院天数、术后近期并发症、术后3个月肌瘤残留等方面情况。结果观察组术中出血量、术后首次排气时间、术后首次下床时间、住院时间均少于对照组,而手术时间长于对照组,差异有显著性(P<0.05)。观察组术后切口疼痛、切口感染的发生率低于对照组,差异有显著性(P<0.05)。术后3个月随访,两组各有1例检查出<2 cm的肌瘤残留,差异无显著性(P>0.05)。结论腹腔镜子宫肌瘤剔除术在治疗子宫肌瘤方面具有腹部切口小而美观,创伤小,术后恢复快,且并发症发生率低的特点。但是腹腔镜子宫肌瘤剔除术也有禁忌证,传统开腹手术在特殊病例中亦有其不可替代的优势,手术方式的选择应结合多方面因素综合考虑。
Objective To compare the clinical efficacy of laparoscopic myomectomy and traditional laparotomy in the treatment of uterine fibroids.Methods 46 patients with hysteromyoma in our hospital from November 2021 to December 2022 were randomly divided into two groups.The observation group was treated with laparoscopic myomectomy,and the control group was treated with traditional open surgery.The operation time,intraoperative bleeding,postoperative first anal exhaust time,postoperative first time to get out of bed,and hospitalization time were compared between the two groups.The incidence of postoperative complications was recorded.The patients were followed up for 3 months to observe the residual myoma after operation.Results The intraoperative blood loss,postoperative first anal exhaust time,postoperative first ambulation time and hospitalization time in the observation group were less than those in the control group,and the operation time was longer than that in the control group(P<0.05).The incidence of postoperative incision pain and incision infection in the observation group was lower than that in the control group,and the difference was significant(P<0.05).After 3 months of follow-up,there was no significant difference in the residual myoma less than 2 cm between the two groups(P>0.05).Conclusion The laparoscopic myomectomy has the merits of small wound,early recovery,less postoperative complications,high quality of life of patients and reliable efficacy.However,it also has some contraindications in contrast with traditional open myomectomy.The surgical method should be selected based on many factors.
作者
邵珊珊
SHAO Shanshan(Changjiu Hospital of Huaiyuan Country,Anhui Province,Bengbu 233400,China)
出处
《中国医药指南》
2023年第19期91-93,共3页
Guide of China Medicine
关键词
子宫肌瘤
腹腔镜剔除术
开腹手术
Uterine fibroids
Laparoscopic removal
Open surgery
